Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Massachusetts
What 26 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$27,990
Hospital list price billed
Average payment
$10,922
Medicare + patient + other payers
Medicare paid
$8,776
Average per stay
State rank
#27 of 34
1 = lowest average payment
Hospitals in Massachusetts billed an average of $27,990 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 2.6 times the average total payment of $10,922. That payment is 5% above the U.S. average of $10,379.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $10,922Billed $27,990
About 39¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: pathological fractures and musculoskeletal and connective tissue malignancy with complications
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Newton-Wellesley HospitalNewton Lower Falls | 88 | $27,440 | $9,434 | $7,734 |
| Union HospitalLynn | 63 | $25,420 | $9,740 | $8,215 |
| Brigham and Women's HosptialBoston | 51 | $64,922 | $13,825 | $10,841 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 49 | $14,880 | $8,731 | $7,274 |
| Winchester HospitalWinchester | 49 | $14,396 | $8,643 | $7,074 |
| Massachusetts General HospitalBoston | 47 | $60,877 | $14,123 | $10,994 |
| Lahey Clinic HospitalBurlington | 38 | $25,894 | $12,955 | $8,991 |
| Beverly Hospital CorporationBeverly | 37 | $19,078 | $9,460 | $7,291 |
| South Shore HospitalSouth Weymouth | 34 | $16,760 | $8,311 | $7,255 |
| Beth Israel Deaconess Medical CenterBoston | 32 | $30,242 | $15,661 | $10,941 |
| Faulkner HospitalBoston | 29 | $27,959 | $10,513 | $8,699 |
| Southcoast Hospital Group, INCFall River | 24 | $24,663 | $9,028 | $7,600 |
| Berkshire Medical Center INCPittsfield | 21 | $24,374 | $12,212 | $9,693 |
| Umass Memorial Medical Center INCWorcester | 20 | $46,846 | $13,938 | $11,131 |
| Sturdy Memorial HospitalAttleboro | 18 | $12,483 | $8,827 | $7,829 |
| Cape Cod HospitalHyannis | 18 | $23,784 | $11,211 | $9,242 |
| Anna Jaques HospitalNewburyport | 17 | $16,942 | $9,023 | $8,255 |
| Boston Medical Center CorporationBoston | 16 | $33,724 | $19,776 | $16,871 |
| Baystate Medical CenterSpringfield | 14 | $21,096 | $11,564 | $9,272 |
| Tufts Medical CenterBoston | 14 | $27,616 | $13,829 | $10,584 |
| Mount Auburn HospitalCambridge | 13 | $17,400 | $11,380 | $9,834 |
| Milton HospitalMilton | 13 | $10,777 | $8,416 | $7,040 |
| Lowell General HospitalLowell | 12 | $23,041 | $10,028 | $7,251 |
| Emerson HospitalConcord | 12 | $11,778 | $8,283 | $7,331 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 11 | $18,204 | $8,241 | $6,906 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 11 | $15,619 | $9,268 | $7,747 |
Lowest and highest payments in Massachusetts
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $8,241 |
|---|---|
| Emerson HospitalConcord, MA | $8,283 |
| South Shore HospitalSouth Weymouth, MA | $8,311 |
| Milton HospitalMilton, MA | $8,416 |
| Winchester HospitalWinchester, MA | $8,643 |
Highest
| Boston Medical Center CorporationBoston, MA | $19,776 |
|---|---|
| Beth Israel Deaconess Medical CenterBoston, MA | $15,661 |
| Massachusetts General HospitalBoston, MA | $14,123 |
| Umass Memorial Medical Center INCWorcester, MA | $13,938 |
| Tufts Medical CenterBoston, MA | $13,829 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Massachusetts?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 26 hospitals in Massachusetts was billed at $27,990 on average, while the average total payment was $10,922, of which Medicare paid $8,776. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Massachusetts, average charges were 2.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.